The Male Perineal Sling: Comparison of Sling Materials

Dikranian, Armen H.; Chang, Joseph H.; Rhee, Eugene; Aboseif, Sherif R.

doi:10.1097/01.ju.0000132835.48647.23

Cited by 53 publications

(23 citation statements)

References 11 publications

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“…Recent reports for the perineal boneanchored sling have shown varying success rates. The group from Kaiser Permanente has shown that the sling procedure is much more successful when using synthetic rather than organic sling material [Dikranian et al, 2004]. Their success rates with synthetic sling are similar to the excellent success rate of the University of Arizona cohort.…”

Section: Discussionmentioning

confidence: 52%

The male perineal sling: Intermediate‐term results

Comiter

2005

Neurourology and Urodynamics

123

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Section: Discussionmentioning

confidence: 52%

The male perineal sling: Intermediate‐term results

Comiter

2005

Neurourology and Urodynamics

123

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“…32 Evidence suggests that alloplastic material produces better continence results. 33 It remains mostly unknown what the mechanisms underlying restoration of continence are. Theoretically, tapes and slings could act by permanent urethral compression, a hammock type mechanism causing urethral compression only during abdominal pressure increase, elongation of the functional urethral length, or re-positioning of the proximal urethral into the abdominal cavity for increase of pressure transmission during physical activity.…”

Section: Slings-tapesmentioning

confidence: 99%

Post‐prostatectomy stress urinary incontinence: What treatment for which patient?

Gajewski

Drake

Oelke

2010

Neurourology and Urodynamics

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Several factors may influence the analysis of endothelial cells (ECs) by flow cytometry: separation of mononuclear cell, washing and centrifugation steps, panel of monoclonal antibodies, and the lack of standardization of gating technique. Therefore, the reliable quantification of ECs remains a technical challenge. The purpose of this study is to define a new flow cytometric protocol to characterize and quantitate ECs. In previous investigations, increased numbers of circulating ECs have been found in sickle cell disease. The patients with sickle cell disease might provide useful material for the study. We performed flow cytometry on whole blood from 20 normal controls and 31 patients with sickle cell disease (20 patients with steady‐state disease and 11 patients with vaso‐occlusive crises) using a lyse/no‐wash procedure, specific and nonspecific antibody combinations (CD146, CD144, CD34, and CD117), and broad gating. This protocol produced much higher values for the number of circulating ECs (a mean of 2,396.55 ± 658.37 ECs/mL in controls vs 6,709.60 ± 1,772.32 ECs/mL in the steady‐state group, or 18,213.50 ± 8,451 in the vaso‐occlusive crises group, P < 0.001 for both), and also showed variable EC size and granularity, which may reflect activated, or early release ECs. This novel protocol performed comparably in terms of reproducibility, reliability, and dilution linearity with a previously described protocol. This approach has significant advantages for the characterization and quantitation ECs compatible with the pathophysiology. Using the specific antibodies, CD146 and CD144, together may give more informative EC data than the general approach used. Am. J. Hematol., 2007. © 2007 Wiley‐Liss, Inc.

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“…In the last few years, there has been revived interest in using male slings for postprostatectomy urinary incontinence [5][6][7][8] . A variety of sling materials were used in these studies, including cadaveric fascia, porcine dermis, polypropylene mesh, silicone mesh and synthetic material.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of surgical techniques have been described for the treatment of male stress incontinence [1][2][3][4][5][6][7][8] . In the last few years, there has been revived interest in using male slings for postprostatectomy urinary incontinence [5][6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

“…More severe leakage is usually treated with periurethral injection of bulking material [1,2] , artificial urinary sphincter [3,4] and the recently described perineal bone-anchored sling or bulbourethral composite suspension [5][6][7][8] . The outcomes of these procedures are dependent on a number of variables including the severity of incontinence, comorbidities such as irradiation, and the duration and type of follow-up.…”

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confidence: 99%

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Pedicled Rectus Abdominis Muscle Flap Wrapped around the Penis for Enhanced Urethral Pressure: An Experimental Study in Dogs

Yang

Xu²,

Liu³

et al. 2007

Urol Int

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Purpose: It was the aim of this study to investigate the possibility of pedicled rectus abdominis muscle fascial flap wrapped around the penis for enhanced urethral pressure in dogs. Materials andMethods: Ten adult male Beagle dogs underwent a procedure in which surrounding tissue of the penis at the site of the bulbomembranous urethra was dissected and a pedicled rectus abdominis muscle fascial flap was wrapped around the penis. Profilometry of the urethral pressure was carried out before, during and after the operation in all dogs. Results: Before the operation, the mean maximal urethral pressure (MUP) was 48.9 ± 11 cm H₂O, and the mean MUP was 78.3 ± 20.5 cm H₂O after the penis was surrounded by a rectus muscle flap. There was a significant difference (t = 4.99, p = 0.0007). Ten weeks after the operation, the mean MUP was 88.3 ± 22.4 cm H₂O, which was significantly higher than that before the operation (t = 6.0584, p = 0.0002). Conclusions: A pedicled rectus abdominis muscle fascial flap wrapped around the penis can raise the urethral pressure. This provided an experiment basis for treating male urinary incontinence with a pedicled rectus muscle flap.

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The Male Perineal Sling: Comparison of Sling Materials

Abstract: Early results demonstrate that the male sling is a safe and efficacious treatment option for postprostatectomy urinary incontinence. This study demonstrates superior outcomes with the synthetic silicone mesh sling compared to the porcine dermal collagen.

Cited by 53 publications

References 11 publications

The male perineal sling: Intermediate‐term results

The male perineal sling: Intermediate‐term results

Post‐prostatectomy stress urinary incontinence: What treatment for which patient?

Pedicled Rectus Abdominis Muscle Flap Wrapped around the Penis for Enhanced Urethral Pressure: An Experimental Study in Dogs

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